Provider Demographics
NPI:1215151899
Name:SCHOTT, MOLLY MARIE (MSOTR)
Entity type:Individual
Prefix:MRS
First Name:MOLLY
Middle Name:MARIE
Last Name:SCHOTT
Suffix:
Gender:F
Credentials:MSOTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6715 S OXFORD ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46227-4970
Mailing Address - Country:US
Mailing Address - Phone:317-797-9814
Mailing Address - Fax:317-783-4425
Practice Address - Street 1:6715 S OXFORD ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46227-4970
Practice Address - Country:US
Practice Address - Phone:317-797-9814
Practice Address - Fax:317-783-4425
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31002816A225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist